GARY B JACOBSEN DDS, A PROFESSIONAL DENTAL CORPORATION (NPI# 1265841415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265841415 |
| Entity Type | Organization |
| Organization Name | GARY B JACOBSEN DDS, A PROFESSIONAL DENTAL CORPORATION |
| Practice Address |
301 W Huntington Dr Suite 204 Arcadia CA 91007-3462 |
| Practice Telephone | 6264458048 |
| Practice Fax Number | 6264458128 |
| Mailing Telephone | 6264458048 |
| Mailing Fax Number | 6264458128 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |
| Authorized Official Name | DR. GARY BRUCE JACOBSEN (DDS/PRESIDENT) |
| Authorized Official Telephone | 6264458048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
26077 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | INDIVIDUAL NPI NUMBER | 1295885382 | 01 |
| Street Address |
301 W HUNTINGTON DR SUITE 204 |
| City | ARCADIA |
| State | CA |
| Zip Code | 91007-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767717 | Narendranath A Reddy | Specialist | 301 W Huntington Dr, Ste 327, Arcadia, CA 91007-1501 | 2005-06-01 |
| 1891335154 | Baraah Nureddin | Hearing Instrument Specialist | 301 W Huntington Dr, Arcadia, CA 91007-3462 | 2020-01-14 |
| 1558913533 | Mara Arnold | Dentist | 301 W Huntington Dr, Arcadia, CA 91007-3462 | 2019-07-10 |
| 1811442056 | Trilogy Eye Medical Group, Inc. | Optometrist | 301 W Huntington Dr, Suite 107, Arcadia, CA 91007-3462 | 2016-08-17 |
| 1023473709 | Gregory T. Heinen, M.d., Inc | Orthopaedic Surgery | 301 W Huntington Dr, Suite 617, Arcadia, CA 91007-3462 | 2015-12-22 |
| 1376913764 | Linda Duong | Pharmacist | 301 W Huntington Dr, Arcadia, CA 91007-3462 | 2015-09-29 |
| 1801289988 | Retina Institute of California Medical Group | Optometrist | 301 W Huntington Dr, Ste. 107, Arcadia, CA 91007-3462 | 2015-03-12 |
| 1417378159 | Monica Bang | Nurse Practitioner | 301 W Huntington Dr, Ste. 215, Arcadia, CA 91007-3462 | 2013-12-24 |
| 1487092417 | Benjamin Yuh | Urology | 301 W Huntington Dr, Arcadia, CA 91007-3462 | 2013-06-12 |
| 1962747063 | Jui Yang Chuang, A Medical Corporation | Radiology | 301 W Huntington Dr, #120, Arcadia, CA 91007-3462 | 2012-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174504 | Ying Zhang | Nurse Practitioner | 301 Huntington Dr., Suite 607, Arcadia, CA 91007 | 2018-11-26 |
| 1891287819 | Sunflower Tcm Health Center | Acupuncturist | 650 Weat Duarte Road, # 168, Arcadia, CA 91007 | 2018-06-05 |
| 1326537911 | Natural Health Care Inc | Clinic/Center | 1434 S Baldwin Ave, Arcadia, CA 91007 | 2018-05-09 |
| 1720590458 | Shokoofeh Namiranian | Pharmacist | 745 E. Naomi Ave, Arcadia, CA 91007 | 2017-11-03 |
| 1164897351 | The One Dental Specialty Center Inc | Dentist | 1245 W. Huntington Drive, #207, Arcadia, CA 91007 | 2015-12-14 |
| 1366815771 | Jackie Liang Zhang Sr. | Acupuncturist | 650 West Duarte Road, # 168, Arcadia, CA 91007 | 2015-11-06 |
| 1811379365 | Michael Bastani | Podiatrist | 289 W Huntington Dr Ste 204, Arcadia, CA 91007 | 2015-06-22 |
| 1740661776 | Albert Tsuyuan Wang | Emergency Medicine | 531 Magellan Rd, Arcadia, CA 91007 | 2015-06-16 |
| 1740678176 | Karina Herrera | Behavioral Analyst | 444 W. Huntington Dr., #211, Arcadia, CA 91007 | 2015-01-08 |
| 1356751614 | H-light Global Inc | Acupuncturist | 1245 W Huntington Dr #212, Arcadia, CA 91007 | 2014-05-07 |
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| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043776008 | Lin Dds, Inc. | Clinic/Center | 618 E Live Oak Ave, Arcadia, CA 91006-5700 | 2019-02-14 |
| 1205497112 | Zhengzheng Sun, D.d.s., Inc. | Clinic/Center | 221 S 1st Ave, Arcadia, CA 91006-3608 | 2019-06-23 |
| 1992360879 | Steven Charng Dds Inc. | Clinic/Center | 125 E Duarte Rd, Arcadia, CA 91006-3935 | 2019-05-06 |
| 1922520493 | Hui Yang Dds Inc | Clinic/Center | 623 W Duarte Rd Ste 3, Arcadia, CA 91007-7346 | 2017-07-17 |
| 1477782829 | Theodore Yang Dds A Professional Corporation | Clinic/Center | 55 E Live Oak Ave, Arcadia, CA 91006-5234 | 2009-07-07 |
| 1881874980 | K. C. Hwang, Dds, Inc | Clinic/Center | 638 W Duarte Rd, Ste 3, Arcadia, CA 91007-7616 | 2007-11-07 |
| 1134316805 | Suzan M. Masri, D.d.s., Inc. | Clinic/Center | 150 N Santa Anita Ave, Suite820, Arcadia, CA 91006-3113 | 2007-09-26 |
| 1508887639 | Robert T Ling,dmd,inc | Clinic/Center | 623 W Duarte Rd Ste 3, Arcadia, CA 91007-7346 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.